昨日，武警总医院ICU病房内，接受肝移植手术的胆道闭锁患儿凡凡(化名)醒了过来。医生表示，这表明凡凡父亲万金强的供肝已经开始发挥功能。

yesterday,Armed police general hospital in the ICU,Accept liver transplants biliary atresia all children who(alias)Woke up.Doctors say,This suggests that all who father from strong for liver has started to function.

　　今年6月初，湖北男子万金强的儿子凡凡(化名)被确诊为胆道闭锁，救命唯有进行肝移植手术。经过化验，凡凡母亲与其同为B型血。万金强说，她曾在电话中声称来京给儿子做肝移植，但她没有来，而且换了电话，再也联系不上。因担心儿子等不及，AB型血的万金强执意为儿子跨血型捐肝。前日，手术在武警总医院顺利完成。(本报此前连续报道)

The beginning of June this year,Hubei men from the sons of strong that whoever(alias)Are identified as biliary atresia,Help only in liver transplantation surgery.After analysis,Every mother with all for type B blood.Gold strong said,She was on the telephone to Beijing said to his son do liver transplantation,But she didn't come,And in the telephone,No longer can not contact.Because of the worry son can't wait,AB blood from the strong determined as a son cross blood group donated liver.The day before yesterday,Surgery in the armed police general hospital successfully completed.(Our previous continuous reports)

万金强日后可正常工作生活 Gold strong future can be normal work and life

　　据万金强母亲王三凤介绍，万金强前晚在ICU病房内就已经苏醒，移入普通病房后，见到家人的第一句话就是问凡凡的情况。得知儿子手术顺利后，才算满意。不过，由于其身上仍然插着引流管、胃管，术后伤口也还疼痛，所以暂时不能翻身，也不敢喘大气和大声说话。

According to the gold strong mother WangSanFeng is introduced,Strong from the previous night in the ICU within to have,PuTongBing move into the anterior chamber,See the family's first words were asked who every situation.That son after operation smoothly,Is satisfied.but,Because of its body is still in the drainage tube/Stomach tube,Postoperative wound also pain,So temporary can't turn over,Also can't take atmosphere and speak loudly.

　　昨日下午，武警总医院腾出一间单独病房供万金强疗养。据该院移植科副主任陈新国介绍，万金强两至三周内即可出院，日后可正常工作生活。

Yesterday afternoon,Armed police general hospital make a single ward for gold strong health.According to the hospital, deputy director of the department of transplantation ChenXinGuo is introduced,Strong from two to three weeks can discharge,In the future can be normal work and life.

凡凡发烧医生称系正常现象 Whoever whoever fever doctors say is normal phenomenon

　　前晚，肝移植手术顺利结束后，不到两岁的凡凡被推入ICU。

The night before last,Liver transplantation was performed after a successful end,Less than two years old of all those who are pushed into ICU.

　　昨日，ICU病房，已经苏醒的凡凡因为口中有插管，显得很不舒服，总是晃头。陈新国表示，凡凡有发烧迹象，“体温38℃多，不过，这属于术后正常现象。”

yesterday,The ICU,Has been to all of that because mouth have intubation,Appear very uncomfortable,Always shake head.ChenXinGuo said,All signs that have a fever,"38 ℃ temperature more than,but,This belongs to the normal phenomenon."

　　“我们已经制定了详细方案，密切监控凡凡的病情，并针对引起并发症的原因采取相应处理措施。”陈新国说，术后在为凡凡使用免疫制剂时，会联合用药，并提高药物浓度，也会改善其血管微循环，防止形成微小血栓。

"We have worked out a detailed plan,Closely monitor the condition that all,And in the light of the causes of complications caused by take corresponding measures."ChenXinGuo said,For all the who use when immune preparation,Will combined treatment,And improve drug concentration,Also can improve the microcirculation of blood vessels,Prevent form tiny blood clots.

　　陈新国称，如果顺利，凡凡可在术后三四周后出院。不过，出院后三个月内，凡凡需每周到医院进行复查。

ChenXinGuo says,If all goes well,All in all the three or four weeks after hospital discharge.but,Three months after discharge,All who want to to the hospital a week for review.

　　- 链接 - link

　　幼童肝移植后需“闯关”一年 Young children need after liver transplantation"recruit"A year

　　武警总医院副主任医师李威介绍，接受肝移植的孩子，术后第一个礼拜最为危险，而在术后一个月内，也可能面临会危及他们生命的胆漏、胆道狭窄等胆道并发症。一年内，如果闯过了上述诸关，病情就会趋于稳定，但仍需保证定期复查和按时服用药物。

Armed police general hospital of doctor of vice director of li wei is introduced,Accept liver transplantation children,The first week after the most dangerous,And in a month after,Also may face would endanger their lives bile leakage/Biliary tract stenosis and biliary complications.A year,If through the above the close,The illness will tend to be stable,But still should guarantee the regular review and take medicine on time.

　　- 追访 - after visit

　　跨血型肝移植易出现血栓 Cross type liver transplantation easy blood clot

　　此次，万金强与凡凡进行的为跨血型肝移植手术。相比同血型移植，这类手术风险性稍高。

the,From all the strong and all across the blood type for liver transplants.Compared with blood type transplantation,This kind of operation risk a little high.

　　“跨血型肝移植的并发症、排斥反应的发生率高于血型一致的肝移植。”陈新国介绍，当血型不合的供体植入受者体内后，供者体内原有血管内皮细胞上的血型抗原就会与受者体内作为天然抗体的A、B凝集素结合，迅速破坏血管网，造成血管血栓。

"Cross type complications of liver transplantation/The incidence of rejection is higher than the same blood type of liver transplantation."ChenXinGuo introduced,When blood type ill-fitting donor implant recipients body,The original donor body vascular endothelial cells of blood group antigen with recipients body as A natural antibody/B agglutinin combined with,Rapid damage blood vessels network,Cause vascular thrombosis.

　　“跨血型肝移植最容易出现排斥反应和血管胆道并发症。”不过，陈新国说，截至目前，武警总医院操作的10余例成人跨血型肝移植手术案例中，尚未出现术后血管并发症。

"Cross type most prone to liver transplantation rejection and vascular biliary complications."but,ChenXinGuo said,So far,The armed police general hospital operation more than 10 cases of adult span blood group liver transplant cases,Has not appeared yet postoperative vascular complications.

　　陈新国表示，对万金强父子而言，因为凡凡是B型血，而为其供肝的父亲万金强是AB型血。因此，术前，医护人员将凡凡提前接入ICU病房，将其血液引出体外，通过棒状特异性吸附装置清除抗A抗体，其余成分再回输到体内，并输入AB型血浆置换凡凡体内的B型血。“经过上述操作后，凡凡体内的血液凝集素效价已降至1：16的可控范围内，避免了手术中可能发生的供肝的急性排异反应。”

ChenXinGuo said,Father and son for gold in strong,For whoever every type B blood,For the father for the liver from strong is AB blood.therefore,preoperative,Medical personnel who will all advance access to the ICU,Will the blood eduction in vitro,Through the rod specific adsorption device clear resistance to A antibody,The rest of the ingredients and feedback to the body,And input AB plasma exchange every every body type B blood."After the above operations,Whoever whoever blood agglutinin valence has been reduced to 1:16 controllable range,To avoid the possible surgery for liver acute rejection reaction."

　　此外，陈新国称，给成人进行跨血型肝移植手术过程中，还可能会做脾切除，以降低排异反应，但由于近年来已经开发出诸如血浆置换等其他预处理手段，该手段已一般不在儿童跨血型肝移植中采用。

In addition,ChenXinGuo says,To adult span blood group liver transplantation was performed in the process,Also may do splenectomy,In order to reduce rejection reaction,But because the recent years have developed such as plasma exchange and other pretreatment method,This method has generally not children cross blood type used in liver transplantation.

　　武警总医院副主任医师李威则表示，根据日本、中国台湾等地的资料显示，因为2岁以内的幼儿尚未形成完善的免疫功能，如果经过合理的预处理，可令跨血型肝移植手术达到血型一致的手术效果。

Armed police general hospital of doctor of vice director of LiWeiZe said,According to Japanese/China Taiwan data shows,Because within 2 years old children has not been formed perfect immune function,If after reasonable pretreatment,Can make span blood group liver transplant to blood type consistent operation effect.

　　本组稿件采写/新京报记者 许路阳 实习生 李晓波 通讯员 陈姝

The manuscript collection &composition/Beijing news reporter xu road male interns LiXiaoBo correspondent ChenShu